Jr Medical Transportation Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

1612243 Issued in LA

Legal business name

JR MEDICAL TRANSPORTATION INC.

Practice address

57335 CPL Herman Brown Jr St
White Castle, LA 70788-3122

Phone

(225) 413-8982

Fax

(225) 545-0131

NPI assigned

Apr 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Raymond Dennis Jr.

Title

Owner

Phone

(225) 413-8982

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710102413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 142",
            "city": "WHITE CASTLE",
            "state": "LA",
            "postal_code": "707880142",
            "telephone_number": "225-413-8982",
            "fax_number": "225-545-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57335 CPL HERMAN BROWN JR ST",
            "city": "WHITE CASTLE",
            "state": "LA",
            "postal_code": "707883122",
            "telephone_number": "225-413-8982",
            "fax_number": "225-545-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JR MEDICAL TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DENNIS JR.",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-413-8982",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "LA",
            "license": "1612243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1612243",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in White Castle, LA
• Providers in White Castle, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.